Individual
TERRENCE M BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
(317) 660-4900
Mailing address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
(317) 660-4900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01059977A
IN
207ND0900X
Dermatopathology Physician
01059977A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200519870
—
IN
Enumeration date
06/05/2008
Last updated
07/19/2023
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